scholarly journals A COMPARATIVE STUDY OF THREE SUPRAGLOTTIC AIRWAY DEVICES- CLASSIC LMA, PROSEAL LMA AND I-GEL, IN ADULT PATIENTS UNDERGOING ELECTIVE SURGERIES

2018 ◽  
Vol 7 (09) ◽  
pp. 1106-1110
Author(s):  
Aravind Kumar Periasamy ◽  
Sivakumar Sivakumar ◽  
Afreen Nahar
2013 ◽  
Vol 5 (3) ◽  
pp. 124-128
Author(s):  
Sebanti Goswami ◽  
Suman Chattopadhyay

ABSTRACT Introduction This prospective study compares the efficacy of two disposable supraglottic airway devices with separate gastric access and integral bite block, the inflatable cuff of the LMA SupremeTM against the noninflatable i-gelTM cuff in providing an adequate seal for laparoscopic surgery. Materials and methods Ninety women of ASA grade I and II undergoing diagnostic laparoscopy with Trendelenburg position were randomly allocated to receive either size 3 LMA Supreme or i-gel. Induction and maintenance protocols were similar and patients were not paralyzed. We compared the airway leak pressure, ease and time to insert the device and a 10 FG nasogastric tube through it, and to note complications if any. Results There was no difference in airway leak pressure between the two devices (24.4 ± 4.0 vs 23.6 ± 3.8 cm H2O, p > 0.05). Forty-one (91%) LMA Supremes and forty (88.8%) i-gels were successfully inserted on the first attempt, with similar ease, and comparable times (13.8 ± 4.9 sec for LMA Supreme vs 14.5 ± 6.7 sec for i-gel; p > 0.05). Gastric tube insertion was easier and achieved more quickly with LMA Supreme compared to i-gel (9.0 ± 3.1 sec vs 14.3 ± 7.5 sec, respectively; p < 0.01), but clinical significance of this finding is questionable. There was blood on removal of four LMA Supremes and three i-gel. Four patients in the LMA Supreme group and one patient in the i-gel group experience mild postoperative sore throat. Conclusion Both LMA Supreme and i-gel are equally effective ventilator devices for diagnostic gynecological laparoscopic procedures. How to cite this article Chattopadhyay S, Goswami S. A Comparative Study of Two Disposable Supraglottic Devices in Diagnostic Laparoscopy in Gynecology. J South Asian Feder Obst Gynae 2013;5(3):124-128.


2018 ◽  
Vol 5 (1) ◽  
pp. 5-11
Author(s):  
Balasaheb Tukaram Govardhane ◽  
Shantanu Kulkarni ◽  
Mukesh Parmar ◽  
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2021 ◽  
Vol 6 (3) ◽  
pp. 24-30
Author(s):  
Amani Alenazi ◽  
Bashayr Alotaibi ◽  
Najla Saleh ◽  
Abdullah Alshibani ◽  
Meshal Alharbi ◽  
...  

Objective: The study aimed to measure the success rate of pre-hospital tracheal intubation (TI) and supraglottic airway devices (SADs) performed by paramedics for adult patients and to assess the perception of paramedics of advanced airway management.Method: The study consisted of two phases: phase 1 was a retrospective analysis to assess the TI and SADs’ success rates when applied by paramedics for adult patients aged >14 years from 2012 to 2017, and phase 2 was a distributed questionnaire to assess paramedics’ perception of advanced airway management.Result: In phase 1, 24 patients met our inclusion criteria. Sixteen (67%) patients had TI, of whom five had failed TI but then were successfully managed using SADs. The TI success rate was 69% from the first two attempts compared to SADs (100% from first attempt). In phase 2, 63/90 (70%) paramedics responded to the questionnaire, of whom 60 (95%) completed it. Forty-eight (80%) paramedics classified themselves to be moderately or very competent with advanced airway management. However, most of them (80%) performed only 1‐5 TIs or SADs a year.Conclusion: Hospital-based paramedics (i.e. paramedics who are working at hospitals and not in the ambulance service, and who mostly respond to small restricted areas in Saudi Arabia) handled few patients requiring advanced airway management and had a higher competency level with SADs than with TI. The study findings could be impacted by the low sample size. Future research is needed on the success rate and impact on outcomes of using pre-hospital advanced airway management, and on the challenges of mechanical ventilation use during interfacility transfer.


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